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Permit CITY OF TIGARD MECHANICAL PERMIT s. COMMUNITY DEVELOPMENT Permit#: MEC2014-00151 Date Issued: 04/14/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BD01200 Jurisdiction: Tigard Site address: 9800 SW SHADY LN Project: Portland NCS Subdivision: MEADOW VIEW Lot: 8 Project Description: New RTU and ductwork,(2)bath fans Contractor: TRI COUNTY HVAC INC Owner: BURDICK-FORBES INVESTMENTS LLC 571 NW WADE ST BY DONALD C BURDICK ESTACADA, OR 97023 434 RIDGEWAY RD LAKE OSWEGO, OR 97034 PHONE: 503-849-9207 PHONE: FAX: 503-630-4369 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/14/2014 $347.71 Class of Work: ALT Type of Const: Vg Plan Review 04/14/2014 $86.93 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/14/2014 $41.73 Stories: Info Process/Archiving-Sm$0.50(up to 04/14/2014 $5.00 Project Valuation: $10,000.00 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Furnaces< 100K BTU: 0-3 HP: Furnaces>= 100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $481.37 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. tee . Issued By: Permittee Signature: ., _ ,• -- Ca 4175 by 7:00 a.m.for the next availablernspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applitzff EIVEp tOIt O1 II( ► I `l ()\I \ Received � 'City of Tigard Date/By: Permit No.: N f COw� / -0o Is/ 14 • 13125 SW HaII Blvd.,Ti OR 97223 Plan Revie Other Permit: nnn- Phone: 503.718.2439 Fax: 503.59 0 2 2014 Date/By: �i 2% w ,1"v�I -6Go(p I I c.n r,n Inspection Line: 503.639.4175 Date Ready/By: runs: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: i - Supplemental Information CITY OF TIGARD 9/ti . 1 TYP; i s lr 1 r_R' ' . g =a' - ( Ut 1.1. FEE• SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction dAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$t©),C "( CATETRY OF CONSTRUCTION RESIDENTIAL EQUIPMENT(SYSTEMS FEES* ❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 98 .GG' ,...4712...D y 1-A t Air conditioning 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: TIGArD OR q7a01.3 Furnace 100,000+BTU(ducts/vents) _ 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: C C/If 7)oI 1 SSG i eT f Duct work 23.32 Cross street/directions to job site: ‘r nhl,mot ( 6-D�/ Gil. Hydronic hot water system 23.32 `'' J J Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas X1- Alete Acol ?&k be.e.7,�r ,rK fireplace 23.32 xa- Pa h . 0•n i G �GJ/i-) 1 A/3 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ( ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: _ 23.32 Business name:TRI-COUNTY HVAC,INC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:DENNIS MANTEL Furnace,etc. Gas heat pump Address:PO BOX 1991 Wall/suspended/unit heater City/State/ZIP:ESTACADA OR 97023 Water heater Phone:(503)849-9207 Fax::(503)630-4369 Fireplace Range E-mail:tri-hvac @att.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:SAME AS ABOVE Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: 186327 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: •; I- /"` /l Z` • Fee methodology set by Tri-County Building Industry Service Board Print name:DENNIS MANTEL Date: I /Li 1:\Building\Permi ts\MEC_PermitApp_040113.doe 440-461 1n(1I/01JCOM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9800 SW SHADY LN, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O May 5, 2014 at 2:27:34 PM MEC2014-00151 Chip Barnett Violation Summary: Inspector Contractor